Share this Article
Adlina AR, Chong YJ, Shatriah I
Correspondence: A/Prof Shatriah Ismail, email@example.com
INTRODUCTION Available data on traumatic cataract in Asian children is primarily confined to South Asian countries. We aimed to describe the demographics, nature of injury and visual outcomes of Malaysian children with traumatic cataract from a suburban area, and discuss the literature on Asian children with this condition.
METHODS We conducted a retrospective study of 29 children below 17 years of age who were diagnosed with traumatic paediatric cataract and who attended Hospital Universiti Sains Malaysia, Kelantan, Malaysia, between January 2000 and December 2010. Follow-up periods ranged from 12 to 120 months. Demographic data, clinical features, mechanism and extent of injury, and final visual outcome were recorded.
RESULTS The study population was predominantly male. The right eye was injured in 62.07% of patients. A majority of patients had penetrating injuries, with the most common cause being injury by an organic foreign body (24.14%). Presenting visual acuity worse than 6/60 was observed in 68.97% of patients. Only 34.48% of patients had a final corrected visual acuity of 6/12 and better. 55.18% of patients were operated on within less than one month of their injuries. A majority of children sustained concurrent injuries to the anterior segment structures. Corneal opacity and amblyopia were the most common causes of poor final visual acuity.
CONCLUSION Health education and awareness are essential tools that can prevent avoidable blindness due to traumatic cataract in the paediatric population. The importance of rehabilitation programmes for these patients should be emphasised.
Keywords: Malaysian children, suburban area, traumatic paediatric cataract
Singapore Med J 2014; 55(5): 253-256; http://dx.doi.org/10.11622/smedj.2014067
| 1. Maida JM, Mathers K, Alley CL. Pediatric ophthalmology in the developing world. Curr Opin Ophthalmol 2008; 19:403-8. |
| 2. Gilbert C, Foster A. Childhood blindness in the context of VISION 2020--the right to sight. Bull World Health Organ 2001; 79:227-32. |
| 3. Gilbert C, Muhit M. Eye conditions and blindness in children: priorities for research, programs, and policy with a focus on childhood cataract. Indian J Ophthalmol 2012; 60:451-5. |
| 4. Gogate P, Sahasrabudhe M, Shah M, Patil S, Kulkarni A. Causes, epidemiology, and long-term outcome of traumatic cataracts in children in rural India. Indian J Ophthalmol 2012; 60:481-6. |
| 5. Shah MA, Shah SM, Appleware AH, et al. Visual outcome of traumatic cataract in pediatric age group. Eur J Ophthalmol 2012; 22:956-63. |
| 6. Ram J, Verma N, Gupta N, Chaudhary M. Effect of penetrating and blunt ocular trauma on the outcome of traumatic cataract in children in northern India. J Trauma Acute Care Surg 2012; 73:726-30. |
| 7. Shah MA, Shah SM, Applewar A, et al. OcularTrauma Score: a useful predictor of visual outcome at six weeks in patients with traumatic cataract. Ophthalmology 2012; 119:1336-41. |
| 8. Khandekar R, Sudhan A, Jain BK, Shrivastav K, Sachan R. Pediatric cataract and surgery outcomes in Central India: a hospital based study. Indian J Med Sci 2007; 61:15-22. |
| 9. Kamlesh, Dadeya SS. Management of paediatric traumatic cataract by epilenticular intraocular lens implantation: longterm visual results and postoperative complications. Eye (Lond) 2004; 18:126-30. |
| 10. Johar SR, Savalia NK, Vasavada AR, Gupta PD. Epidemiology based etiological study of paediatric cataracts in western India. Indian J Med Sci 2004; 58:115-21. |
| 11. Brar GS, Ram J, Pandav SS, et al. Postoperative complications and visual results in uniocular pediatric traumatic cataract. Ophthalmic Surg Lasers 2001; 32:233-8. |
| 12. Eckstein M, Vijayalakshmi P, Killedar M, Gilbert C, Foster A. Use of intraocular lenses in children with traumatic cataract in South India. Br J Ophthalmol 1998; 82:911-5. |
| 13. Krishnamachary M, Rathi V, Gupta S. Management of traumatic cataract in children. J Cataract Refract Surg 1997; 23 (Suppl 1):681-7. |
| 14. Gupta AK, Grover AK, Gurha N. Traumatic cataract surgery with intraocular lens implantation in children. J Pediatr Ophthalmol Strabismus 1992; 29:73-8. |
| 15. Cheema RA, Lukaris AD. Visual recovery in unilateral traumatic pediatric cataracts treated with posterior chamber intraocular lens and anterior vitrectomy in Pakistan. Int Ophthalmol 1999; 23:85-9. |
| 16. Memon MN, Narsani AK, Nizamani NB. Visual outcome of unilateral traumatic cataract. J Coll Physicians Surg Pak 2012; 22:497-500. |
| 17. Kumar S, Panda A, Badhu BP, Das H. Safety of primary intraocular lens insertion in unilateral childhood traumatic cataract. JNMA J Nepal Med Assoc 2008; 47:179-85. |
| 18. Adhikari S, Badhu BP, Bhatta NK, et al. Etiology and clinical profile of pediatric cataract in a tertiary care center of Eastern Nepal. JNMA J Nepal Med Assoc 2007; 46:94-8. |
| 19. Wilson ME, Hennig A, Trivedi RH, Thomas BJ, Singh SK. Clinical characteristics and early postoperative outcomes of pediatric cataract surgery with IOL implantation from Lahan, Nepal. J Pediatr Ophthalmol Strabismus 2011; 48:286-91. |
| 20. Hyun DW, Lee TG, Cho SW. Unilateral scleral fixation of posterior chamber intraocular lenses in pediatric complicated traumatic cataract. Korean J Ophthalmol 2009; 23:148-52. |